This study analyzed patient safety reports in and near Pennsylvania from 2013 through 2016 to identify those that contained explicit language associating possible harm with an electronic health record usability issue.

Abstract The COVID-19 pandemic has led to the rapid expansion of telehealth services as healthcare organizations aim mitigate community transmission while providing safe patient care. As technology adoption rapidly increases, operational teams must maintain awareness critical information, such volumes and wait times, provider experience, platform performance. Using a model situation conceptual foundation user-centered design approach we describe our process for developing disseminating...

Summary Background: With the widespread use of electronic health records (EHRs) for many clinical tasks, interoperability with other information technology (health IT) is critical effective delivery care. While it generally recognized that poor negatively impacts patient care, little known about specific safety implications. Understanding implications will help prioritize efforts around architectures and standards. Objectives: Our objectives were to (1) identify incident reports reflect EHR...

Background Medical oxygen is frequently used in healthcare settings. Challenges with disruption, such as tanks running out due to communication issues between staff or not being set up properly, have been noted the limited existing literature. and patient safety associated disruption persist. Utilizing a human factors approach, our study aims understand contributing context of disruption–related event reports inpatient setting provide person-based system-based solutions. Methods Through...

Different health information technology (health IT) systems are intended to support medication ordering, reviewing, and administration. We sought identify the types of errors associated with IT use, whether they reached patient, where in process those occurred, specific usability issues contributing errors.Patient safety event reports from more than 595 healthcare facilities entered between January 2013 September 2018 were analyzed. computationally identified process, including computerized...

Background: Dose calculation errors are one of the most common types medication impacting children and they can result in significant harm. Technology-based solutions, such as computerized provider order entry, effectively reduce dose issues; however, these technologies not always optimized, resulting potential benefits being fully realized. Methods: We analyzed pediatric dose-related patient safety event reports submitted to Pennsylvania Patient Safety Reporting System using a task-analytic...

COVID-19 requires methods for screening patients that adhere to physical distancing and other Centers Disease Control Prevention guidelines. There is little data on the use of on-demand telehealth meet this need.The functional performance as a remote patient approach was conducted by analysing 9270 requests.Most requests (5712 total requests; 61.6%) had visit reason likely related. Of these, 79.1% (4518 5712) resulted in completed encounter 20.9% (1194 left without being seen. 4518...

Background When placing orders into the electronic health record (EHR), prescribers often use free-text information to complement order. However, of these fields can result in patient safety issues. The objective our study was develop a deeper understanding conditions under which information, or special instructions, are used EHR and issues associated with their use, through an analysis event (PSE) reports. Methods We identified 847 PSE reports submitted Pennsylvania Patient Safety Reporting...

Objectives Interruptions and distractions have been shown to be a frequent occurrence across health care linked negative outcomes that create potential patient safety risks. Although observational studies catalogued interruption frequency source, the impact of an is difficult observe. We analyzed event (PSE) reports related interruptions identify clinical processes reported frequently interrupted those interruptions. Methods retrospectively PSE entered by frontline staff between January 2013...

During 2012, Christchurch experienced a dramatic increase in cases of infectious syphilis among men who have sex with men. This was accompanied by some novel trends; notably, the acquisition infection younger age group, local sexual contacts, commonly via use social media. study is report on an approach to case identification and public health communication as component multifaceted outbreak response. Enhanced surveillance data responses outbreaks sexually transmissible infections collated...

This cross-sectional study assesses variation in the provision of telemedicine services among primary care physicians and quantifies extent to which this may be explained by individual physician vs temporal, patient, or visit factors.

Summary The widespread adoption of health information technology (HIT) has led to new patient safety hazards that are often difficult identify. Patient event reports, which self-reported descriptions hazards, provide one view potential HIT-related events. However, identifying reports can be challenging as they categorized under other more predominate clinical categories. This challenge is exacerbated by the increasing number and complexity pose challenges human annotators must manually...

With the pervasive use of health information technology (HIT) there has been increased concern over usability and safety this technology. Identifying HIT hazards, mitigating those hazards to prevent patient harm, using knowledge improve future systems are critical advancing care.The purpose work is demonstrate feasibility a modeling approach identify usability-related events (PSEs) from free-text reports utility such models for supporting analysts in their analysis event data.We evaluated...

Background: Medical equipment, supplies, and devices (ESD) serve a critical function in healthcare delivery how they can have patient safety consequences. ESD-related issues include malfunctions, physically missing ESDs, sterilization, usability. Describing from human factors perspective that focuses on user interactions with ESDs provide additional insights to address these issues. Methods: We manually reviewed ESD event reports submitted the Pennsylvania Patient Safety Reporting System...

In an effort to improve and standardize the collection of adverse event data, Agency for Healthcare Research Quality is developing testing a patient safety surveillance system called Safety Review System (QSRS). Its current abstraction from medical records through manual human coders, taking average 75 minutes complete review tasks one record. With many healthcare systems across country adopting electronic health record (EHR) technology, there tremendous potential more efficient by...

Objective We analyzed the described resolutions of patient safety event reports related to health information technology determine how healthcare systems responded these events, recognizing that certain types solutions such as training and education have a limited impact. Methods A large database over 1.7 million was filtered include those identified by reporter being technology. The resolution text manually reviewed coded into one or more four categories: No Resolution, Training/Education,...

BackgroundTelemedicine is uniquely positioned to address challenges posed emergency departments (EDs) by the Coronavirus Disease 2019 (COVID-19) pandemic. By reducing in-person contact, it should decrease provider risk of infection and preserve personal protective equipment (PPE).ObjectivesTo describe assess early results a novel telehealth workflow in which remote providers collaborate with nursing evaluate discharge well-appearing, low-risk ED patients suspected COVID-19...

Health information technology (HIT) provides many benefits, but also facilitates certain types of errors, such as wrong-patient errors in which one patient is mistaken for another. These can have serious safety consequences and there has been significant effort to mitigate the risk these through national goals, in-depth research, development toolkits. Nonetheless, persist. We analyzed 1,189 event reports using a science resilience engineering approach, focuses on identifying processes...